Evidence map›Paper›PMID 26732706›Full record

SynthesisScientific reports2016

Two kinds of common prenatal screening tests for Down's syndrome: a systematic review and meta-analysis.

Yuan Yao, Yang Liao, Mei Han, Sheng-Lan Li, Juan Luo, Bo Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yuan YaoDepartment of Laboratory Medicine, Southwest Hospital, Third Military Medical University of PLA, Chongqing 400038, PR China.
Yang LiaoDepartment of Laboratory Medicine, Guangzhou General Hospital of Guangzhou Military Command of PLA, Guangzhou 510010, Guangdong, PR China.
Mei HanDepartment of Laboratory Medicine, Southwest Hospital, Third Military Medical University of PLA, Chongqing 400038, PR China.
Sheng-Lan LiDepartment of Laboratory Medicine, Southwest Hospital, Third Military Medical University of PLA, Chongqing 400038, PR China.
Juan LuoDepartment of Laboratory Medicine, Southwest Hospital, Third Military Medical University of PLA, Chongqing 400038, PR China.
Bo ZhangDepartment of Laboratory Medicine, Southwest Hospital, Third Military Medical University of PLA, Chongqing 400038, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the chromosomal examination of foetal cells for the prenatal diagnosis of Down's syndrome (DS) carries a risk of inducing miscarriage, serum screening tests are commonly used before invasive procedures. In this study, a total of 374 records from PubMed, EMBASE, and the ISI Science Citation Index databases were reviewed. As a result of duplication, insufficient data, and inappropriate article types, 18 independent articles containing 183,998 samples were used in the final systematic review and meta-analysis of the diagnostic performance of the serum triple screening test (STS) and the integrated screening test (INS). Data extracted from the selected studies were statistically analysed, and the presence of heterogeneity and publication bias was assessed using specific software. The overall sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio, and the area under the curve for the STS were 0.77 (95% confidence interval = 0.73-0.81), 0.94 (0.94-0.94), 9.78 (6.87-13.93), 0.26 (0.22-0.31), 44.72 (30.77-65.01), and 0.9064, respectively. For the INS, these values were 0.93 (0.90-0.95), 0.93 (0.93-0.93), 22.38 (12.47-40.14), 0.08 (0.05-0.11), 289.81 (169.08-496.76), and 0.9781, respectively. These results indicate that the INS exhibits better diagnostic value for DS. However, further research is needed to identify other biomarkers to improve prenatal screening tests.

Indexed as

BiomarkersDown SyndromeFemaleHumansOdds RatioPregnancyPregnancy TrimestersPrenatal DiagnosisPublication BiasReproducibility of ResultsROC CurveSensitivity and SpecificityUltrasonography, PrenatalBiomarkers

Identifiers

PMID26732706
PMCPMC4702166

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.